Complicated Appendicitis; To Compare Laparoscopic Appendectomy and Open Appendectomy as Treatment of Complicated Appendicitis

Abstract

ABSTRACT… Appendectomy is the most common surgical procedure performed in surgical emergency. The advent of minimal invasive surgery has massively influenced the field of surgery. Laparoscopic surgery might offer clinical benefits in perforated and complicated appendicitis. Objective: To compare laparoscopic appendectomy and open appendectomy as treatment of complicated appendicitis in terms of mean requirement of post-operative analgesia, operative time and hospital stay. Study design: Randomized control trial. Setting: All subjects for the study were recruited from Department of Surgery, Independent University Hospital, Faisalabad. Duration: The duration of study was of 6 months duration from February 2012 to august 2012. Results: In this study the divided into two groups, group A for open appendectomy (OA) and group B for Laparoscopic Appendectomy (LA). Both groups had 43 patients each. The operating time for open appendectomy group A had mean operating time 37.21 minutes .The hospital stay in OA group was 2.63 days. The mean dosage of analgesia requirement was 258 mg of diclofenac. The operating time for open appendectomy group A had mean operating time 39.16 minutes. The hospital stay in OA group was 2.95 days. The mean dosage of was 258.14 mg of diclofenac. Conclusion: Our study concludes that both approaches laparoscopic and open approach have proved to be similar in terms of post-operative hospital stay, operating time and analgesia requirement. Where as LA is superior in terms of cosmesis and surgical site infection. Further studies with more number of patients are recommended to asscess the benefits of laparoscopic approach in complicated appendicitis.